论文部分内容阅读
目的探讨食管癌、贲门癌术后胸胃排空障碍的诊断、合理治疗及预防方法。方法回顾性分析1988年1月至2008年12月我院施行769例食管癌、贲门癌切除术的患者临床资料。结果本组病例发生胸胃排空障碍17例,发生率1.69%,其中机械性胸胃排空障碍3例,功能性胸胃排空障碍14例,均发生于术后3～12d;3例机械性胸腔胃排空障碍,其中2例经再次手术后治愈,1例死于全身衰竭,其他14例功能性胸胃排空障碍均保守治疗痊愈。结论食管癌、贲门癌术后左侧胸胃排空障碍大多数为功能性,少数为机械性;上消化道造影、胃镜检查是鉴别机械性和功能性胸胃排空障碍的重要方法;对于机械性胸胃排空障碍应早期选择手术治疗,而功能性胸胃排空障碍应采取保守治疗多能痊愈。
Objective To investigate the diagnosis, reasonable treatment and prevention of thoracic gastric emptying after esophageal cancer and cardiac surgery. Methods The clinical data of 769 patients undergoing esophageal and cardiac resections in our hospital from January 1988 to December 2008 were retrospectively analyzed. Results Thoracic gastric emptying disorder occurred in 17 cases (1.69%) in this group, of which mechanical thoracic gastric emptying disorder (3 cases) and functional thoracic gastric emptying disorder (14 cases) occurred in 3 ~ 12 days postoperatively and 3 cases Mechanical thoracic gastric emptying disorders, of which 2 cases were cured after reoperation, 1 case died of systemic failure, the other 14 cases of functional thoracic gastric emptying were conservative treatment of healed. Conclusions Most of the left thoracic gastric emptying disorders after esophageal and cardiac surgery are functional and a few are mechanical. Upper gastrointestinal imaging and gastroscopy are important methods to distinguish mechanical and functional thoracic gastric emptying disorders. Mechanical thoracic gastric emptying should be selected early surgery, and functional thoracic gastric emptying should be taken conservative treatment can be cured.